Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Crescent Physicians Group, Inc

Organization Orthopaedic Surgery Physician · NPI 1184023806

Southern Crescent Physicians Group, Inc is an Orthopaedic Surgery Physician in Riverdale, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

33 Uppr Riverdale RD SW Ste 17
Riverdale, GA 30274-2626
Phone: (770) 897-7056
Fax: (770) 909-2169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 016401 (GA)
Surgery Physician Taxonomy 208600000X · Licence 072683 (GA)

Record details

NPI number1184023806
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John McClain — Ceo · (770) 597-7056
NPI enumeratedAugust 19, 2014
Last updated in NPPESAugust 19, 2014
Mailing address11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615

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